Individual
MS. PENNY L SUDDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 WASHINGTON AVE, PARSONS, KS 67357-3256
(620) 423-1547
Mailing address
1507 WASHINGTON AVE, PARSONS, KS 67357-3256
(620) 423-1547
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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